Deeptha Nedunchezian, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

140066 Issued in NY

Practice address

514 49TH St
Brooklyn, NY 11220-2010

Phone

(718) 431-2600

Fax

(718) 436-7810

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• NYU Lutheran Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1538111653
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1487674396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202010",
            "telephone_number": "718-431-2600",
            "fax_number": "718-436-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202010",
            "telephone_number": "718-431-2600",
            "fax_number": "718-436-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDUNCHEZIAN",
        "first_name": "DEEPTHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "140066",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "140066",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01473972",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxanne Nedd, REGI
• Tyisha D Nedd, LCAT
• Alyssa Justine Nedell
• Frances Nedler, OD
• Olga Nedlin
• Roshini Mary Neduvelil, MD
• Albert Xiao Ming Nee, OTR
• Nadya Nee, MD
• Melissa Lauren Needell, OTR/L
• Jodi Needle, MS CCC-SLP

• Infectious Disease Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.